Stroke mimic caused by severe hypomagnesemia: a case report and literature review.
David Vidal Bankier, Francis Renard, Mario Manto
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Case in brief
A patient with a history of transient neurological deficits presented with stroke-like symptoms, including hemiparesis and aphasia. The patient was on Proton Pump Inhibitors and Metformin. Upon evaluation, severe hypomagnesemia was identified as the underlying cause. Following treatment to correct magnesium levels, the patient's neurological symptoms resolved, highlighting the importance of magnesium in neurological function.
Diagnostic / clinical pearl
Clinicians should consider hypomagnesemia as a potential cause of stroke-like symptoms, especially in patients with risk factors such as the use of Proton Pump Inhibitors.
Why it matters
This case underscores the need for magnesium level assessment in patients presenting with unexplained neurological deficits, as timely correction can lead to significant recovery.